| Mimigrimm,ma,individual,couple&family Therapy | |
|
132 10th Ave N 103 D Safety Harbor FL 34695-3407 | |
| (727) 504-4126 | |
| (727) 216-3998 |
| Full Name | Mimigrimm,ma,individual,couple&family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 132 10th Ave N, Safety Harbor, Florida |
| Authorized Official Name and Position | Mariann Elizabeth Grimm (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 7275044126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mimigrimm,ma,individual,couple&family Therapy 860 Cambridge Ct Dunedin FL 34698-6101 Ph: (727) 504-4126 | Mimigrimm,ma,individual,couple&family Therapy 132 10th Ave N 103 D Safety Harbor FL 34695-3407 Ph: (727) 504-4126 |
| NPI Number | 1689041618 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689041618 | NPI | - | NPPES |
| 011891300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT2514 (Florida) | Primary |
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